Guilford Health Care Center

In the surveyor’s words

From the most serious findings on record at Guilford Health Care Center, in the surveyor’s own words.

• Actual harm, isolatedF686Jul 30, 2021

  Based on observations, record reviews, staff interviews, Nurse practitioner and Wound Doctor interviews the facility failed to apply an air mattress to prevent skin impairment, transcribe wound treatment to the right heel and sacrum according to and, provide pressure ulcer care according to physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . Resident #17 was at risk for pressure ulcers and acquired 3 pressure ulcers (sacrum area, left heel, and right heel) since admission. The wounds to the left heel and sacrum had some bloody drainage with maceration at observation. The resident was started on antibiotics due to infection to the wounds. Findings included: Resident #17 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, widespreadF812Mar 18, 2026

  Based on observations and staff interviews, the facility failed to label and date leftover food stored for use, discard food past its use-by-date and discard food showing signs of spoilage in 1 of 1 walk-in cooler and 1 of 1 walk-in freezer. The facility also failed to maintain clean walls and ceilings that were free from damage and black substances in the facility's main kitchen area including the dish washing area, steamtable/food line, and food preparation area. These practices had the potential to affect food served to all residents. The findings included:a. […]

• No harm, potential for more than minimal, widespreadF809Apr 17, 2025

  Based on observations, resident and staff interviews, the facility failed to provide snacks when requested for 4 of 4 residents reviewed for resident council and 1 of 1 resident who reported feeling hungry between meals (Resident #17, Resident #32, Resident #84, Resident #52, and Resident #90). The findings included: a. Resident #17 was admitted to the facility on [DATE]. Review of the annual Minimum Data Set (MDS) dated [DATE] revealed that Resident #17 was cognitively intact for daily decision making and was independent with eating. b. Resident #32 was readmitted to the facility on [DATE]. Review of the annual Minimum Data Set (MDS) dated [DATE] revealed that Resident #32 was cognitively intact for daily decision making and was independent with eating. c. […]

• No harm, potential for more than minimal, widespreadF812Jan 24, 2024

  Based on observations and staff interviews, the facility failed to keep food preparation areas, food service equipment clean, free from debris, grease buildup, and/or dried spills during two kitchen observations. The facility failed to clean the floor and ceiling vents located over the food prep and food service area. This practice had the potential to affect food served to all residents. The findings included: During a kitchen tour on 1/21/24 at 9:14 AM, the following observations were made with the kitchen Cook: a. The 6- stove burners had heavy grease build-up on the stove burners, walls behind the stove, and front of the stove. There were large amounts of burnt foods, dried, encrusted, liquid and splatters throughout the stove area. […]

• No harm, potential for more than minimal, widespreadF867Jan 24, 2024

  Based on observations, resident and staff interviews and record review, the facility's quality assurance (QA) process failed to implement, monitor, and revise as needed the action plan developed for the recertification and complaint surveys dated 12/8/22, and 7/30/21 and for the complaint investigation survey dated 11/9/23 to achieve and sustain compliance. These were for recited deficiencies on a recertification and complaint investigation survey on 1/24/24. The deficiencies were in the following areas: label/ store drugs and biologicals, food procurement, store/prepare/serve - sanitary and resident records- identifiable information. […]